Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Facility		$302.00	$302.00	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $416.87	Professional		$208.93	$275.42	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $645.65	Facility		$302.00	$302.00	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $676.08	Professional		$302.00	$524.81	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $46.77	Professional		$36.31	$45.71	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $776.25 / $2,137.96	Facility		$74.13	$776.25	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $676.08	Professional		$234.42	$316.23	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,513.56	Professional		$630.96	$741.31	$1,513.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $208.93 / $398.11	Facility		$25.70	$208.93	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $676.08	Professional		$251.19	$269.15	$676.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $512.86	Professional		$407.38	$512.86	$512.86